RRB Pharmacist Recruitment Exam case studies
RRB Pharmacist Recruitment Exam · Put your knowledge to work in context.
The RRB Pharmacist recruitment examination is the computer-based selection test used by India's Railway Recruitment Boards to shortlist candidates for Pharmacist (Allopathic) posts in railway hospitals and health units. It suits qualified pharmacists - typically holding a Diploma or Degree in Pharmacy and valid registration - who want a stable public-sector clinical role. The RRB Pharmacist Recruitment Exam case studies are 5 cases and about 4,146 words.
1New-onset jaundice in a 58 kg patient on HRZE with efavirenz-based ART
A 42-year-old man weighing 58 kg with newly diagnosed sputum smear-positive pulmonary tuberculosis and HIV infection (on tenofovir/lamivudine/efavirenz for three years, CD4 210 cells/microlitre) was started three weeks ago on weight-band fixed-dose HRZE: isoniazid 75 mg, rifampicin 150 mg, pyrazinamide 400 mg and ethambutol 275 mg, four tablets once daily. He returns with nausea, anorexia, dark urine and scleral icterus.
800 words, about 4 min2Compounding a spironolactone suspension for a 12 kg child when the prescription and the ward notes disagree
A paediatric ward of a government general hospital asks its pharmacy to compound an oral liquid for a 3-year-old girl weighing 12 kg who has heart failure. The cardiologist's handwritten prescription reads: 'Spiromide 25 mg tablets - prepare 60 mL of a 5 mg/mL suspension; give 2.4 mL twice daily.
818 words, about 4 min3A single evening shift: a defective H1 prescription, a Schedule X request and an unwritten register
A retail pharmacy in a railway colony in Ahmedabad, licensed under Forms 20 and 21, is staffed by one registered pharmacist on the evening shift. At 8:40 pm three people arrive in turn.
889 words, about 4 min4Biological indicator failure after a gasket replacement: releasing or withholding surgical sets
A 250-bed railway divisional hospital runs a central sterile supply department with two horizontal autoclaves: one for wrapped goods at 121 degrees C for 30 minutes, and a prevacuum unit at 134 degrees C for 4 minutes. On Monday the door gasket of the prevacuum unit was replaced by the engineering section and the unit was put back into service the same afternoon without any revalidation.
815 words, about 4 min5Vancomycin trough of 32 mg/L with a rising creatinine on a busy surgical ward
A 70-year-old man weighing 65 kg is admitted with a diabetic foot infection; blood cultures have grown MRSA. He has type 2 diabetes, hypertension and chronic kidney disease stage 3b.
824 words, about 4 min